General Objective: After 2 hours and 30 minutes of lecture demonstration, the BSN III A students will be able to gain

in additional knowledge, improve skills and develop positive attitude towards the concept on Fracture, Closed, Oblique, Displaced proximal third, fourth and fifth metatarsals at right foot. Specific Objectives
1. To define related terms:

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Fracture - breaking of a bone, cartilage, or the like, or the resulting condition. Accident - an undesirable or unfortunate happening that occurs unintentionally and usually results in harm, injury or damage Injury - harm or damage that is done or sustained Metatarsal - most commonly fractured bones in the foot Closed Fracture - a bone fracture that causes little or no damage to the surrounding soft tissues - also called simple fracture

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Specific Objectives

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Oblique Fracture - a fracture occurring at an angle across the bone. Displaced Fracture - a fracture in which the two ends of the broken bone are separated from one another

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2. To review on the anatomy and physiology of the foot.

The foot serves to bear the weight of the body and supports when standing and moving. 1. Tarsals - also known as ankle bones - are the short bones in the foot which connects the metatarsals to other parts of the upper foot. - these bones lock and unlock when moving from one direction to the other 2. Metatarsals - are five long bones in the foot located between the tarsal bones and phalanges of the foot.

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- are numbered from the medial side (side of the great toe) - first metatarsal: located behind the big toe, it is the shortest of the metatarsal bones, and the thickest & strongest. - second metatarsal: the longest of the metatarsal bones - third metatarsal: the second longest metatarsal bone - fourth metatarsal: the third longest and smallest of the metatarsal bones. - fifth metatarsal: the second smallest of the metatarsal bones 3. Phalanges - the bones at the tip of the toes - it allows walking, balancing, and staying upright

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Specific Objectives
3. To know the patients general data.

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A case of Mr K.A.E., 18 years old, single, male, residing at Langtad, Naga City-Cebu, Roman Catholic, college student at University of Cebu METC. Admitted to Chong Hua Hospital last July 7, 2013 at 1:58 PM for complaints of pain on the right foot. Name: K.A.E. Hospital #: 040001842617 Room #: CHH 5C M13 Birthday: July 25. 1994 Age: 19 years old Sex: Male Race: Filipino Place of Birth: Naga City Occupation: Student Weight: 73.4 kilograms Height: 169 centimeters Attending Physician: Dr. Robinson Tan Uy Anaesthesiologist: Dr. Glen Cang

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Final Diagnosis: Fracture. Closed, Oblique, Displaced proximal 3rd, 4th and 5th metatarsals at right foot. Date of Admission: July 7, 2013 Date of Surgery: July 8, 2013 Types of Surgery: ORIF (Open Reduction Internal Fixation)

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4. To know the Health History

Past Health History - patient was previously hospitalized last 2009 due to Dengue. He doesnt have any surgical history. Family History - patient stated that his family both on the paternal and maternal side has history on hypertension and asthma specifically on the paternal side. Reason for consultation - pain on the right foot.

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Current Health Status - two weeks prior to admission, patient, was playing basketball and accidentally twisted his right foot. During admission, patient was complaining of pain on the right foot.

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